Chinese Medical Sciences Journal ›› 2017, Vol. 32 ›› Issue (1): 28-33.doi: 10.24920/J1001-9242.2007.004
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Value of Multi-detector CT in Detection of Isolated Spontaneous Superior Mesenteric Artery Dissection
Li Tao, Zhao Shaohong, Li Jinfeng, Huang Zili, Luo Chuncai, Yang Li*(
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- Department of Radiology, General Hospital of Chinese People’s Liberation Army, Beijing 100853, China
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Published:2017-03-31Online:2017-04-10 -
Contact:Yang Li E-mail:yangli301@yeah.net
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Li Tao, Zhao Shaohong, Li Jinfeng, Huang Zili, Luo Chuncai, Yang Li. Value of Multi-detector CT in Detection of Isolated Spontaneous Superior Mesenteric Artery Dissection[J].Chinese Medical Sciences Journal, 2017, 32(1): 28-33.
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Figure 1.
ISSMAD classification according to Sakamoto types and modified morphologic classification.ISSMAD: isolated spontaneous superior mesenteric artery dissection."
Figure 1.
Figure 2.
A. A 53-year-old male patient. Sagittal maximum intensity projection image shows type I ISSMAD. His abdominal pain had continued for 1 week. B. A 50-year-old male patient. Coronal maximum intensity projection image shows type II ISSMAD. His abdominal pain had continued for 9 days. C. A 53-year-old male patient with type IV ISSMAD. Sagittal maximum intensity projection image shows completely thrombosed false lumen without an ulcer-like projection. His abdominal pain had continued for 10 hours. D. A 43-year-old male patient. Volume rendering image shows type V, dissection aneurysm. His abdominal pain had continued for 1 day."
Figure 2.
Figure 3.
A 44-year-old male patient, whose abdominal pain had continued for a day, underwent CT scan. Sagittal maximum intensity projection image shows type Ⅳ ISSMAD (A). Sagittal maximum intensity projection image shows complete remodeling after one month of treatment (B)."
Figure 3.
Figure 4.
A 52-year-old male patient, whose abdominal pain had continued for a day, underwent MD scan. Oblique volume rendering image shows type IV ISSMAD (A). Oblique volume rendering image shows thrombosis in the false lumen completely absorbed after one month of conservative treatment (B)."
Figure 4.
Figure 5.
Sagittal (A) and coronal maximum intensity projection images (B) show type Ⅱ ISSMAD with ischemia in a 50-year-old female patient. The stenosis ratio of true lumen was more than 75%. She underwent superior mesenteric artery stenting because abdominal pain was not alleviated after conservative treatment for 3 days. Sagittal maximum intensity projection image shows the stent is patent after follow-up of 29 months (C)."
Figure 5.
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